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ICD-10 Guide
ICD-10 CodesF14.92

F14.92

Billable

Cocaine use, unspecified with intoxication

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 F14.92 is a billable code used to indicate a diagnosis of cocaine use, unspecified with intoxication.

Key Diagnostic Point:

Cocaine use disorder is characterized by a problematic pattern of cocaine use leading to clinically significant impairment or distress. Cocaine is a powerful stimulant that affects the central nervous system, leading to increased energy, euphoria, and heightened alertness. However, it can also result in severe adverse effects, including cardiovascular complications, neurological disturbances, and psychological issues. Intoxication from cocaine can manifest as increased heart rate, elevated blood pressure, dilated pupils, and heightened anxiety or agitation. The unspecified nature of this code indicates that the specific details of the cocaine use disorder have not been documented, which can complicate treatment and management. Treatment typically involves behavioral therapies, counseling, and support groups, as there are currently no FDA-approved medications specifically for cocaine use disorder. Understanding the nuances of this condition is crucial for effective coding and treatment planning.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation of cocaine use patterns
  • Need for differentiation between intoxication and withdrawal symptoms
  • Potential co-occurring substance use disorders
  • Variability in clinical presentation among patients

Audit Risk Factors

  • Inadequate documentation of intoxication symptoms
  • Failure to document the duration and frequency of cocaine use
  • Lack of comprehensive treatment plans
  • Inconsistent use of terminology regarding substance use

Specialty Focus

Medical Specialties

Addiction Medicine

Documentation Requirements

Detailed history of substance use, including frequency, quantity, and context of use.

Common Clinical Scenarios

Patients presenting with acute intoxication, withdrawal symptoms, or seeking treatment for cocaine use disorder.

Billing Considerations

Consideration of co-occurring mental health disorders and comprehensive treatment planning.

Psychiatry

Documentation Requirements

Thorough psychiatric evaluation, including mental status examination and assessment of substance use impact on mental health.

Common Clinical Scenarios

Patients with cocaine-induced psychosis or mood disorders exacerbated by cocaine use.

Billing Considerations

Need for careful monitoring of psychiatric symptoms and potential medication interactions.

Coding Guidelines

Inclusion Criteria

Use F14.92 When
  • According to ICD
  • 10 guidelines, this code should be used when the patient presents with symptoms of intoxication without a specified pattern of use
  • Documentation must support the diagnosis, including details on the patient's history and current symptoms

Exclusion Criteria

Do NOT use F14.92 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

H0001CPT Code

Alcohol and/or drug assessment

Clinical Scenario

Used when assessing a patient for substance use disorders.

Documentation Requirements

Document the assessment findings and treatment recommendations.

Specialty Considerations

Addiction specialists should ensure comprehensive evaluations are conducted.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to track and manage these conditions. F14.92 provides a clear designation for cocaine use with intoxication, aiding in treatment planning and resource allocation.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to track and manage these conditions. F14.92 provides a clear designation for cocaine use with intoxication, aiding in treatment planning and resource allocation.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of substance use disorders, improving the ability to track and manage these conditions. F14.92 provides a clear designation for cocaine use with intoxication, aiding in treatment planning and resource allocation.

Resources

Clinical References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Coding & Billing References

  • •
    Substance Abuse and Mental Health Services Administration (SAMHSA)

Frequently Asked Questions

What is the difference between F14.92 and F14.10?

F14.92 specifies cocaine use with intoxication, while F14.10 is used for unspecified cocaine use without detailing the intoxication status.